Provider Demographics
NPI:1043652837
Name:ACS MEDICAL LLC
Entity Type:Organization
Organization Name:ACS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:COAKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-467-1014
Mailing Address - Street 1:233 N 48TH ST STE F
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3512
Mailing Address - Country:US
Mailing Address - Phone:402-467-1014
Mailing Address - Fax:402-467-1015
Practice Address - Street 1:233 N 48TH ST STE F
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3512
Practice Address - Country:US
Practice Address - Phone:402-467-1014
Practice Address - Fax:402-467-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE6880520001Medicare NSC